Holder, Tara M.

Holder, Tara M. is an sole proprietor health care provider with primary practice located at 755 N 11Th Street Suite P-5200, Beaumont TX 77702-1522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Holder, Tara M. can be contacted via phone (409) 898-2994.

Contact Information

Primary practice address
755 N 11Th Street Suite P-5200 Beaumont TX 77702-1522
Phone: (409) 898-2994
Fax: (409) 899-5542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 660917 Texas

Profile Details

NPI number 1023160330
LBN Legal business name Holder, Tara M.
Credentials APRN, ENP, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Nov 23rd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023160330 NPPES
Texas Other 7702695 AETNA
Texas MEDICAID 1658650-01 AETNA
Texas Other P00141387 AETNA
Texas Other 8N6091 AETNA

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